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Updated: Sep 20, 2026

Molecular and Immunologic Techniques in a Genetically Engineered Mouse Model of Gastrointestinal Stromal Tumor
Published on: May 2, 2022
[Target-based therapy against gastrointestinal stromal tumors--from molecular diagnosis to molecular target therapy]
Toshirou Nishida1, Keigo Yasumasa
1Department of Surgery, E1, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita, Osaka 565-0871, Japan.
Abstract:
Gastrointestinal stromal tumors (GIST) are composed of KIT-positive mesenchymal-origin spindle- or polygonal-shaped tumor cells in the gastrointestinal tract without immunoreactivity for desmin and S-100. The gain-of-function mutations in the c-kit gene (90%) or platelet-derived growth factor receptor alpha (PDGF-R alpha) gene (5%) are now considered to be causative for GIST. STI571 (Glivec), a molecule designed to selectively inhibit Bcr-Abl, KIT, and PDGF-R activity, shows high response rate and efficacy for non-resectable and/or relapsed GIST (PR 60%). Its serious adverse effects (more than Grade 3) were infrequent, thus, tolerability and safety are good. Glivec is the first successful case of molecular target therapy for solid tumors. However, new resistance against this new generation of drug is going to appear and becomes an urgent problem.
Insights
Gastrointestinal stromal tumors (GIST) are driven by KIT or PDGF-R alpha gene mutations. STI571 (Gleevec) effectively treats GIST, offering good safety, but drug resistance is an emerging challenge.
Area of Science:
- Oncology
- Molecular Biology
- Gastroenterology
Context:
- Gastrointestinal stromal tumors (GIST) originate from KIT-positive mesenchymal cells.
- Causative genetic mutations include gain-of-function in c-kit (90%) or PDGF-R alpha (5%).
Purpose:
- To evaluate the efficacy and safety of STI571 (Gleevec) for GIST treatment.
- To highlight Gleevec as a pioneering molecular targeted therapy for solid tumors.
Summary:
- STI571 (Gleevec) demonstrates significant efficacy (60% partial response) in non-resectable or relapsed GIST.
- The drug exhibits favorable tolerability and safety with infrequent severe adverse effects.
- Gleevec represents a breakthrough in molecular targeted therapy for solid tumors.
Impact:
- Establishes STI571 (Gleevec) as a key therapeutic option for GIST.
- Addresses the critical need for effective treatments in advanced GIST.
- Underscores the emergence of drug resistance as a significant future challenge in GIST therapy.
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